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Miyaki C, Wu K, Nye D, Ramdin N. A Rare Case of Spindle Cell Sarcoma With Rare Asymptomatic Cerebellar Metastasis. Cureus 2024; 16:e54766. [PMID: 38523942 PMCID: PMC10961104 DOI: 10.7759/cureus.54766] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2024] [Indexed: 03/26/2024] Open
Abstract
Sarcomas are one of the rarest cancers, occurring in less than 1% of all adult malignancies. Spindle cell sarcomas are one subset of soft tissue sarcomas that are even less commonly reported in the literature due to the scarcity of cases, especially with the presence of brain metastases. We present a case of an adult male who presented with non-specific exertional dyspnea and chest pain, which was found to have spindle cell sarcoma with cerebellar metastasis.
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Affiliation(s)
- Candace Miyaki
- Internal Medicine, Geisinger Medical Center, Danville, USA
| | - Kathie Wu
- Palliative Care, Penn State Health, Hershey, USA
| | - David Nye
- Internal Medicine, Geisinger Medical Center, Danville, USA
| | - Nadia Ramdin
- Oncology, Geisinger Medical Center, Danville, USA
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Feng L, Wang M, Yibulayin F, Zhang H, Yang YL, Ren F, Wushou A. Spindle cell sarcoma: a SEER population-based analysis. Sci Rep 2018; 8:5024. [PMID: 29568070 PMCID: PMC5864760 DOI: 10.1038/s41598-018-23145-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Accepted: 03/01/2018] [Indexed: 01/01/2023] Open
Abstract
Due to the substantial limitation of study population, Spindle cell sarcoma (SCS) was unexplored comprehensively. In this study, we investigated the clinical characteristics and disease specific prognostic factors of SCS. 3299 SCS cases were identified and extracted from Surveillance, Epidemiology, and End Results (SEER) database (1973–2017). White people account for 79.1% with median age of 57 years without predominance in any gender. Significant disease specific survival (DSS) and overall survival (OS) were found differentiated in age, T stage, N stage, M stage, AJCC stage, SEER historic stage, tumor locations, surgery, and pathologic grade. In the multivariate Cox analysis, the age >64 years (for DSS, P < 0.001 and for OS, P < 0.001; Reference age ≤64 years), AJCC stage III (for DSS, P = 0.006 and for OS, P = 0.04; Reference: AJCC stage I), and non-surgical treatment (for DSS, P < 0.001 and for OS, P < 0.001; Reference: surgery) were independently associated with worse DSS and OS. In brief, our study demonstrated that SCS mostly found in white people at fifth to seventh decades of life without gender predilection. The patient’s age, AJCC stage, tumor location and surgery were independent prognostic indicators for both DSS and OS of SCS.
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Affiliation(s)
- Lei Feng
- Department of Oral and Maxillofacial Surgery, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200001, China.,Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200001, China
| | - Meng Wang
- Department of Oral and Maxillofacial Surgery, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200001, China.,Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200001, China
| | - Feiluore Yibulayin
- Department of Epidemiology and Biostatistics, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200001, China.,Department of preventive medicine, school of public health, Fudan University, Shanghai, 200001, China
| | - Hao Zhang
- Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200001, China.,Department of Epidemiology and Biostatistics, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200001, China
| | - Yin-Long Yang
- Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200001, China
| | - Fei Ren
- Department of Pathology, Fudan University Shanghai Cancer Center, Shanghai, 200032, China
| | - Alimujiang Wushou
- Department of Oral and Maxillofacial Surgery, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200001, China. .,Oral Biomedical Engineering Laboratory, Shanghai Stomatological Hospital, Fudan University, Shanghai, 200001, China.
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